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Neurology 2000;55:1738-1741
© 2000 American Academy of Neurology
Brief Communications

Cerebral microembolism in acute spontaneous internal carotid artery dissection

C. A. Molina, MD, J. Alvarez-Sabín, MD, W. Schonewille, MD, J. Montaner, MD, A. Rovira, MD, S. Abilleira, MD and A. Codina, MD, PhD

From the Cerebrovascular Unit (Drs. Molina, Alvarez-Sabín, Montaner, Abilleira, and Codina) and Magnetic Resonance Unit (Dr. Rovira), Hospital Vall d’Hebrón, Barcelona; and the Department of Neurology (Dr. Schonewille), Clinica Rotger, Mallorca, Spain.

Address correspondence and reprint requests to Dr. Carlos Molina, Cerebrovascular Unit, Department of Neurology, Hospital Vall d’Hebron, Passeig Vall d’Hebron 119-129, 08035 Barcelona, Spain; e-mail: carmolcate@ demasiado.com

The rate and risk factors for early ischemic recurrence in patients with internal carotid artery dissection (ICAD) are largely unknown. Serial transcranial Doppler (TCD) monitoring of microembolic signals (MES) was performed in 28 consecutive patients with acute ICAD. MES were identified in 13 patients, and early ischemic recurrence occurred in 7. Six of 13 patients with MES and 1 of 15 without MES experienced early ischemic recurrence (p = 0.029). MES detection on serial TCD monitoring may be associated with an increased risk of early ischemic recurrence in patients with acute ICAD.




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